Provider Demographics
NPI:1285260497
Name:SULAYMAN, YASMIN AHMED
Entity type:Individual
Prefix:
First Name:YASMIN
Middle Name:AHMED
Last Name:SULAYMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3433 KENOSHA DR NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-5707
Mailing Address - Country:US
Mailing Address - Phone:507-202-7535
Mailing Address - Fax:
Practice Address - Street 1:3433 KENOSHA DR NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-5707
Practice Address - Country:US
Practice Address - Phone:507-202-7535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-19
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency